UCR MEDICAL GROUP PLLC (NPI# 1619301264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619301264 |
| Entity Type | Organization |
| Organization Name | UCR MEDICAL GROUP PLLC |
| Practice Address |
2745 S Alma School Rd Ste 2 Chandler AZ 85286-4405 |
| Practice Telephone | 4808557585 |
| Practice Fax Number | 4808550912 |
| Mailing Telephone | 4808557585 |
| Mailing Fax Number | 4808550912 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |
| Authorized Official Name | DARYN D KRYWKO (CEO) |
| Authorized Official Telephone | 4804068900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 4509 | AZ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | DEA | FA097560 | 01 |
| Street Address |
2745 S ALMA SCHOOL RD STE 2 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85286-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508292970 | Ucr Healthcare, LLC | Clinic/Center | 2745 S Alma School Rd Ste 2, Chandler, AZ 85286-4405 | 2013-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780202804 | Cep America- Arizona, PC | Emergency Medicine | 1405 S. Alma School Rd., Chandler, AZ 85286 | 2020-07-07 |
| 1972139004 | Banner Health | General Acute Care Hospital | 1405 S Alma School Rd, Chandler, AZ 85286 | 2020-03-20 |
| 1033776455 | Premier Orthodontic Specialists Pllc | Dentist | 3230 S. Gilbert Rd. Ste. 1, Chandler, AZ 85286 | 2019-05-21 |
| 1871056978 | Erica Satoko Sugiyama-hill | Counselor | 3042 West Queen Creek Rd, Chandler, AZ 85286 | 2019-04-08 |
| 1235693169 | Shumway Dental Care Pllc | Dentist | 3150 S. Gilbert Road Suite 1, Chandler, AZ 85286 | 2019-01-24 |
| 1568968287 | Reita Jenae Juarez | Counselor | 3042 W Queen Creek Road, Chandler, AZ 85286 | 2018-04-02 |
| 1205348984 | Seriously Speaking, LLC. | Speech-Language Pathologist | 650 E. Woodsman Place, Chandler, AZ 85286 | 2017-11-02 |
| 1689194920 | Kyle D. Byrne | Physician Assistant | 1100 S Dobson Rd Ste 203, Chandler, AZ 85286 | 2017-06-27 |
| 1053844183 | Omar Faisal Saleem | Internal Medicine | 1405 S Alma School Road, Attn Amanda Gump/ Hospitalists, Chandler, AZ 85286 | 2017-04-05 |
| 1629427539 | Bryanda Silva | Specialist/Technologist | 2350 E Germann Rd #33, Chandler, AZ 85286 | 2016-06-10 |
| Find all providers in zip 85286 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831548296 | Laura Brenza | Specialist | 3110 N Bentrup Cir, Chandler, AZ 85224-1008 | 2016-06-07 |
| 1043671282 | Daniel Lovelace | Specialist | 1392 N Santa Anna Ct, Chandler, AZ 85224-8527 | 2016-03-16 |
| 1699150318 | Shaena Lutz | Specialist | 1889 W Queen Creek Rd, #2062, Chandler, AZ 85248-3079 | 2015-07-23 |
| 1528445442 | Rachel Brodie | Specialist | 1976 N Lemon Tree Ln Unit 10, Chandler, AZ 85224-2536 | 2015-04-29 |
| 1942623939 | Wallace Medical Group | Specialist | 1986 E Glacier Pl, Chandler, AZ 85249-2886 | 2014-01-27 |
| 1861783730 | Corliss Colleen Jackson | Specialist | 1519w. Mesquite Street, Chandler, AZ 85224-5235 | 2011-04-27 |
| 1114159803 | Ashley Marie Christensen | Specialist | 5590 W Chandler Blvd, Suite 4, Chandler, AZ 85226-3697 | 2009-08-14 |
| 1336385640 | Paul Harris | Specialist | 870 N Evergreen St, Chandler, AZ 85225-7236 | 2008-12-17 |
| 1215103080 | Koki K Amin | Specialist | 643 W San Carlos Way, Chandler, AZ 85248-5173 | 2008-05-01 |
| 1427234640 | Frankie Jean Cook | Specialist | 2090 N Dobson Rd Ste 1, Chandler, AZ 85224-2394 | 2008-01-17 |
| Find all providers in CHANDLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.